Venture Growth Program

Company name*

Email contact address *

Phone number*

How did you hear about Venture Connect?*

Do you have a business mentor? If not, who would be ideal mentor(s) and why?*

Provide a link to your web site/demo etc.*

Briefly describe the founding members (indicate the % share in your project of each founder and your team*

When was the business launched?*

How much did you invest so far?*

Do you have any existing clients?*

Have you already raised funding?* Please submit details of prior investments by angels / VC or other investors

What are the main features of your business: what’s new and innovative?*

What problem does your product or service solve?*

Do you have any national and / or international competition?* Provide a brief description on how you stand out

Please provide a short description about the market potential of your business (size, growth, trends)*

Please provide details on your current market share, and what you present to be your strengths and areas/features which need improvement*

Who is your customer?* (i.e., main demographic group)

How will your business attract customers in the following 6 months?*

If you have such materials, revenues & profit for fiscal years 2012 and 2013 (if available, please attach financial statements submitted to trade registry or equivalent if non-Romanian legal entity for 2012 and 2013 fiscal years)

(10 mb attachment limit)

Desired investment amount to bring your business to break-even and contemplated use thereof

All fields marked with (*) are required.